Duodenal Switch Surgery in India

Duodenal Switch Surgery

Duodenal Switch surgery is an efficient weight-loss surgery performed by number of surgeons worldwide. It is one of the most knotty weight loss surgeries, is also referred as vertical gastrectomy with duodenal switch, DS or BPD-DS, biliopancreatic diversion with duodenal switch. Surgery helps patients to lose a substantial amount of surplus weight and maintain successful weight loss eventually.

History of Duodenal Switch Surgery

The standalone Duodenal Switch procedure (without the accompanying gastric bypass as used in weight-loss surgery) was originally devised by Tom R. DeMeester, M.D. to treat bile gastritis, a condition in which the stomach and esophagus are burned by bile. In 1988, Dr. Douglas Hess of Bowling Green, Ohio, was the first surgeon to combine the DS with the Biliopancreatic Diversion (BPD) form of obesity surgery. This hybrid procedure, known as the Biliopancreatic Diversion with Duodenal Switch (or the Distal Gastric Bypass with Duodenal Switch), solves many nutritional problems associated with other forms of weight loss, and allows a magnificent eating quality when compared to other weight loss procedures.

Duodenal Switch Surgery Candidates

Specific requirements to become a surgical candidate vary amongst bariatric surgeons, but there are general criteria that candidates for duodenal switch need to meet.

• Candidates are required to have a body mass index (BMI) of 40 or greater. In cases where the patient has co-existent health problems such as heart disease, sleep apnea, diabetes, or mobility impairment, a BMI of 35 or greater may be considered.
  
  
•  Candidates should be medically healthy enough to withstand surgery.
  
  
•  Candidates should be able to demonstrate a past history of failure with conventional diet and weight loss programs.
  
  
• Candidates must demonstrate an understanding of the risks of the procedure and a commitment to long term maintenance of healthy eating and lifestyle habits after the surgery is complete.
  
  

Success Rate of Duodenal Switch Surgery

A person who undergoes a Duodenal switch surgery can expect to loose between 29% and 37% of their pre surgery weight during the first 3 months alone.

• Following the first three months the patient should expect to have lost between 51% and 55% of their pre surgery weight by month 6 and 80% to 91% of that weight by the end of their second year.
  
  
• Furthermore the duodenal switch offers a 97% success rate for resolving diabetes and 96% success at resolving high cholesterol.
  
  
• 90% of all patients who have undergone a duodenal switch procedure have seen their sleep apnea disappear.
  
  
• You have roughly a 85% chance of ridding yourself of hypertension as well as 60% of all duodenal switch patients noticed their asthma disappeared. The duodenal switch has also been recorded at resolving almost 47% of arthritis issues.

Duodenal Switch Surgery Preparations

Before going for Duodenal Switch Surgery you need to do some preparations those include:

• Meeting with a registered dietician to discuss how your diet needs to change both before and after weight loss surgery.
  
  
• Upper endoscopy exams to make sure no polyps, tumors, ulcers or bacteria that cause ulcers are in the stomach prior to surgery.
  
  
• Additional pre-operative evaluations may be necessary for the heart and lungs.
  
  
• It's also wise to tell your surgeon about any medications you are taking or plan to take throughout recovery. Vitamins, minerals and herbs also interact with medications, so don't leave anything out.
  
  
• Quitting smoking for at least 30 days before and after weight loss surgery. Smoking can increase the risk of complications, including potentially fatal blood clots. What's more, smoking also increases the risk of pneumonia and other lung problems after surgery.
  
  
• Not drinking alcohol for at least 48 hours before weight loss surgery.
  
  
• Losing 5 to 10 percent of excess body weight. People who lose a moderate amount of weight before weight loss surgery have a shorter hospital stay and more rapid postoperative weight loss, according to a study in Archives of Surgery.

Duodenal Switch Surgery Procedure

• The procedure involves the surgeon removing a large portion of the stomach. This is done as a ‘sleeve gastrectomy’: the surgeon will remove up to 85% of the stomach and reshape the remaining section so that it forms a tube or banana shape.
  
  
• He/she will also ensure that the pyloric valve – the opening from the stomach which controls the flow of food into the small intestine - is left intact. This is the restrictive half of the procedure.
  
  
• The surgeon will then take the small intestine and reroute this so that one end is attached to the pyloric valve and the other into the large intestine. This forms a shorter channel called the ‘digestive’ channel.
  
  
• Surgeon will take another section of this small intestine which forms the longer channel or ‘biliopancreatic loop’.
  
  
• This channel is where bile and pancreatic juices travel through. These travel down this channel until the reach the start of the large intestine.
  
  
• The bottom of this channel joins the bottom of the digestive loop. This third channel or junction is where the bile, pancreatic juices and food mix together.
  
  
• This reduces the amount of time that the body has in which to break down this food. The process means that fewer calories are absorbed into the bloodstream, and most importantly, less fat. Smaller portions and fewer calories mean that weight will be lost. This is the malabsorptive half.

Recovery after Duodenal Switch Surgery

• Most people typically stay in the hospital for 4 days or less after duodenal switch surgery, followed by a stay in a nearby hotel for 4-7 days. Your doctor will approve your return back home once you can do the following:
  
  
• Move without too much discomfort
  
  
• Eat liquid and/or pureed food without vomiting
  
  
• No longer require pain medication given by injection
  
  
• You will remain on liquid or pureed food for several weeks after the surgery.
  
  
• Even after that time, you will feel full very quickly, sometimes only being able to take a few bites of solid food. This is because the new stomach pouch initially only holds a tablespoonful of food. The pouch eventually expands. However, it will hold no more than about one cup of thoroughly chewed food (a normal stomach can hold up to one quart).
  
  
• Once your diet begins to consist of more solid food, remember to chew each bite very slowly and thoroughly. You will be instructed on eating small meals frequently throughout the day, rather than large meals that your stomach cannot accommodate.
  
  
• Exercise and the support of others (for example, joining a support group with people who have undergone weight loss surgery) are extremely important to help you lose weight and maintain that loss following gastric bypass.
  
  
• You can generally resume exercise 6 weeks after the operation. Even sooner than that, you will be able to take short walks at a comfortable pace, with the approval and guidance of your doctor. Exercise improves your metabolism, while both exercise and attending a group support can boost your self-esteem and help you stay motivated.

Advantages of Duodenal Switch Surgery

• Quicker weight loss and fewer chances of gaining weight back. The Duodenal Switch combines moderate intake with substantial calorie malabsorption. This results in a very high percentage of excess weight loss for obese individuals.
  
  
• Significant reduction in excess body fat.
  
  
• No dumping syndrome, that is, patients do not feel nauseous.
  
  
• Patients can eat a normal balanced meal.
  
  
• No risks of staple line problems, clogging of the anastomosis, or ulcers at the stoma, because there are no pouches or stomas. The natural stomach is still there, only smaller, and is connected to the duodenum in the same as it was before the surgery.

Risks of Duodenal Switch Surgery

The short-term surgical risks of duodenal switch are similar to those of gastric bypass. These include the risk of infection and leakage of gastrointestinal contents.  These complications may require a return to the operating room for repair.  Rate of complications are very low.

Alternatives to Duodenal Switch Surgery

Surgical procedure options to consider as an alternative for Duodenal switch may include these surgeries:

• Adjustable gastric banding
• Gastric bypass surgery
• Biliopancreatic diversion surgery

Duodenal Switch Surgery in India

• India offers treatment of various complicated diseases at a very reasonable cost.
  
  
• India has become the healthcare hub for international patients as it provides with the latest in medical treatment facilities and best services making it easy and comfortable.
  
  
• Healthcare in India excels in treatments relating to cardiothoracic surgery, joint replacement, transplants, orthopedic surgery, ophthalmology, and urology to name a few.
  
  
• Indian medical institutes offer gamut of services ranging from general medicine & surgery for many diseases and complications.
  
  
• Cardiac bypass surgery is available in major cities like Mumbai, Delhi, Bangalore, Chennai, Kolkata and Hyderabad. These cities have world class hospitals that attract a huge crowd of international patients who opt for low cost treatment other than home country.
  
  
• Duodenal switch surgery in India is available in the following cities:

Cost of Duodenal Switch Surgery in India

• The cost of the operation varies a great deal. Different countries have different rates. The operation needs an expert surgeon and the cost of the surgery will depend a lot on the surgeon's fees. The more experienced he is, the higher his charges will be. This operation also needs hospital stay of four to five days. The charges will depend on the hospital also. The operating room charges, the recovery room charges, the anesthetics charges, medicines, check ups, pre and post consultations all cost money.
  
  
• Most health insurance companies cover the duodenal switch. However, this has to be discussed in advance. Duodenal switch is considered a health related operation and hence there is insurance cover for it.
  
  
• Many patients come to India for low cost duodenal switch surgery. The operation cost for the duodenal switch surgery is around $20,000 to $40,000. It also depends on the experience of the bariatric surgeons.
  
  
• India is the most favorable destination when it comes to weight loss surgery at low cost without compromising the quality.

Duodenal Switch Surgery in India- Go with Forerunners Healthcare

• Forerunners Healthcare is pioneer in providing healthcare facilities in India at low cost.
  
  
• We handle patients all over the globe & recommend them to the best medical establishment. We ensure in giving the best treatment without spending too much money. Benefits of working with us include zero waiting time, complete personal care and cost effective treatments.
  
  
• We have our network Office worldwide, marketing and promoting our associated health care providers. We act as a facilitator between the patients and the hospitals, assisting them right form their arrival, treatment and departure.
  
  
• In addition to medical services, it also provides complete transport, travel, accommodation and tourist assistance to the patient and his family.
  
  
• Forerunners Healthcare will take care of all the arrangements like travelling, finding a surgeon, accommodation and help in visa procedures too.
  
  
• Patient just has to send a query related to the surgery then Forerunners Healthcare’s assistants will contact within 24 hours and they will take care of rest of the procedures.

ABOUT INDIA

Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.

• Mumbai - Mumbai, formerly known as Bombay in English, is the capital of the Indian state of Maharashtra. This port city (India's largest and busiest) accounts for a major share of the government's revenue, and has one of the world's largest harbour. There are many things to love about Mumbai. One is simply the geographical names, like The Queen's Necklace and Elephanta Island, all with roots in the British Empire.
  
  
• Hyderabad - Also known as City of Nizams. The city of Hyderabad has its own individual character, which is evident in the beautiful, ancient palaces and the equally modern, and state-of-the-art offices and buildings. Medical tourism at hospitals in Hyderabad combines care for your health with international tourism. The primary reason behind its surging popularity is better healthcare services at an affordable budget.
  
  
• Goa - Popularly known as the ‘Rome of the East’, Goa boost of natural, magnificent churches and exquisite works of man. Plunge into the clear blue water of the large pool, or soak in the blissful sunshine on the picturesque island. Goa is an interesting location for getting your health propped up and getting those long postponed surgeries done. You have modern facilities, short waiting times and very affordable prices for procedures, hospital services and medicines.
  
  
• Bangalore - The progressive and modern city of Bangalore is the state capital, being located within India's Karnataka state. Bangalore is often referred to as the country 'Garden City', due to its high concentration of parks and green spaces. Bangalore has few of the world’s best doctors and medical practitioners, who have been trained by the rigorous Indian medical education system as well as in countries like UK and USA. 
  
  
• Nagpur - Nagpur City has many distinctions. It is also the second greenest in India and is located at the very center of the heartland, almost equidistant from Kolkata, Chennai and New Delhi and Mumbai. The present city was founded in the early 18th century by Bhakt Buland, a Gond prince of the kingdom of Deogad in the Chhindwara district. The Nagpur District has a varied culture, as well as being in the central part of India, the market in Nagpur is flooded with products from all over India. Nagpur has few of the world’s best doctors and medical practitioners, who have been trained in countries like UK and USA.
  
  
• Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.
  
  
• Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.
  
  
• Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.
  
  
• Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India. 
  
  
• Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery. 
  
  
• Gurgaon - Located in the National Capital Region, Gurgaon is one of the most rapidly growing cities in Greater Delhi. In the last few years Gurgaon has boomed as the hub of IT and other new-age businesses. Gurgoan is the latest destination for Medical Tourism in India as it is the latest modern upcoming city near Delhi.
  
  
• Chandigarh - Located near the foothills of Shivalik range of the Himalayas, Chandigarh is one of the most beautiful and happening cities of India. Chandigarh has great potential for Medical tourism as the unpolluted and excellent environs give many opportunities to patients to recover from their illness. 

To get free no obligation Quote For Duodenal Switch Surgery in India :   click here   Phone Numbers Reach Us- India & International : +91-9860755000 / +91-9371136499 UK : +44-2081332571 Canada & USA : +1-4155992537

Below are the downloadable links that will help you to plan your medical trip to India in a more organized and better way. Attached word and pdf files gives information that will help you to know India more and make your trip to India easy and memorable one.

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About India				Destinations in India
Indian Embassy List				Medical Tourism FAQ
Visa For India

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